MEDICARE: DR. BHRUGISHA R PATEL PHARMD., MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	A1-0003880	DE
2	183500000X	Pharmacist	24285	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053934406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHRUGISHA R PATEL PHARMD., MBA

Provider Business Mailing Address
First Line	:	106 BOW ST
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-5596
Country	:	US
Telephone Number	:	410-398-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 BOW ST
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-5596
Country	:	US
Telephone Number	:	410-398-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	05/20/2020

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